Applicator for treating hemorrhoids



May 1, 1962 s. RADER ETAL APPLICATOR FOR TREATING HEMORRHOIDS 2Sheets-Sheet 1 Filed Oct. 19, 1960 INVENTORS SIDNEY RADER MINNIE NA k? My 1 s. RADER ETAL APPLICATOR FOR TREATING HEMORRHOIDS 2 Sheets-Sheet 2Filed Oct. 19, 1960 INVENTORS SIDNEY RADER 1 -5 MINNIE RADER ,BYATTOP/VZY United States Patent C) 3,032,036 APPLICATOR FOR TREATINGHEMORRHOIDS Sidney Rader and Minnie Rader, both of 168-09 19th Ave.,Whitestone, N.Y. Filed Oct. 19, 1960, Ser. No. 63,576 Claims. (Cl.128-463) This invention relates to the art of rectal applicators, andparticularly concerns an improved appliance for treating rectalhemorrhoids.

According to the invention, a fabric member is inserted into the rectumto a point just beyond the sphincter muscle. The fabric member ischilled by refrigeration or by saturation with cold water prior toinsertion. In order to facilitate insertion of the fabric member thereis provided an instrument having a bulbous head with a slidable coreadapted to grip .the fabric member which is in the form of a clothsleeve. After insertion of the fabric member into the rectum, theinstrument is withdrawn. The instrument permits the cloth sleeve to befully extended or to be drawn partially outside with a portion ofthesleeve protruding from the anus for withdrawing the fabric memberafter treatment. The application of the chilled fabric member may berepeated to stop bleeding, contract swollen blood vessels and alleviatethe hemorrhoid condition;

It is therefore one object of the invention to provide an instrument forapplying a treatment member to alleviate a hemorrhoid condition.

It is another object to provide an instrument including a clamp forengaging a fabric member and inserting the same into a rectum to treathemorrhoids.

' Still another object is to provide an instrument of the characterdescribed, wherein the fabric member is a cloth sleeve and theinstrument may turn the sleeve outside in to provide a doubly thickfabric body at a selected portion of the anal canal.

A further object is to provide an instrument of the character describedwhich permits the cloth sleeve to be turned outside in while beingpulled to withdraw it from the rectum in which it is inserted.

For further comprehension of the invention, and of the objects andadvantages thereof, reference will be had to the following descriptionand accompanying drawings, and to the appended claims in which thevarious novel features of the invention are more particularly set forth.

In the accompanying drawings forming a material part of this disclosure:

FIG. 1 is an elevational view of an applicator instrument embodying theinvention.

FIG. 2 is a sectional view taken on line 22 of FIG. 1.

FIG. 3 is an elevational view of the applicator and cloth sleeve engagedthereon.

FIG. 4 is a sectional view taken on line 44 of FIG. 3.

FIG. 5 is a perspective view on a reduced scale of the cloth sleeve.

FIG. 6 is a diagrammatic sectional view through a rectum showing thefabric member in partially reversed position.

FIG. 7 is another diagrammatic sectional view through a rectum showingthe fabric member in an extended position.

FIG. 8 is an elevational view of another applicator instrument accordingto the invention.

FIG. 9 is a sectional view through the instrument of FIG. 8 with theinstrument in an extended position and with a cloth sleeve engagedthereon.

In FIGS. 1-4, there is shown an applicator 10 in the form of a rigidplastic tubular body having a tapered shank 12 terminating at its upperend in a hollow bulbous portion 14. The lower narrow end of the body hasan annular bead 15. Axially slidable in the tubular body 3,932,036Patented May 1, 1962 is a plastic clamping member including acylindrical shaft 18 having a head in the form of a flange 20 at itsupper end. To the shaft is secured an annular knob 22 defining a handleat its other end. A cylindrical cavity or recess 24 is formed axially inthe bulbous portion 14 of the applicator body. The recess 24communicates with axial bore 26in which slides shaft 18.

The applicator is especially adapted to receive a cloth sleeve 30, bestshown in FIGS. 35. This sleeve has an elongated tapered form with anopening 32 at the Wider upper end. The lower narrow end is open at 33.Openings 32 and 33 are substantially equal in diameter. The sleeve maybe formed of knit or woven gauze or other cloth fabric and is ratherresilient to fit snugly but not tightly on the body of the applicator.The outer walls of the applicator are smooth and rounded at oppositeends. The sleeve can be mounted on the applicator as shown in FIGS. 3and 4. To engage the rim 31 of opening 32 of the sleeve under flange 20the shaft 18 will be inserted fully so that the knob 22 abuts bead 15 asshown in FIGS. 1 and 2, and the flange will extend just beyond thebulbous portion 14 as shown in FIGS. 1 and 2.

After the wider end of the sleeve is engaged on the head of the clampingmember, the clamping member will be retracted downwardly to the positionof FIGS. 3 and 4. This will pull the wider portion of the sleeve intocavity 24 and engage the rim of opening 32 on the annular wall 25defining a shoulder in the cavity. The applicator with sleeve 30 thereonmay now be inserted into the rectum R just beyond the constriction Cmaintained by the sphincter muscle in the large bowel B; see FIGS. 6 and7.

' After the applicator is fully inserted, the clamping member may beoperated to release the sleeve by moving or retracting the shaft 18axially upward into the tubular body to the position of FIGS. 1 and 2.If the applicator is now slowly withdrawn, the sleeve 30 will be grippedby the walls of the bowel B and will be drawn off of the shaft head andtapered applicator body. The sleeve 30 will then assume the extendedposition in the rectum as shown in FIG. 7. Narrow end portion N extendsjust beyond the rectum and can be grasped for pulling the sleeve outwhen treatment is completed.

Instead of releasing the sleeve when it is fully extended, theapplicator can be withdrawn from the rectum R while the clamping membercontinues to grip the wider end of the sleeve. The sleeve will then becaused to turn partially outside in as shown in FIG. 6. This occursbecause the walls of the large bowel grip the lower portion N of thesleeve and prevent it from sliding outwardly while the smooth body ofthe applicator slides out of the lower portion of the sleeve pulling theupper portion W in and through the lower portion N. The sleeve can bedisengaged from the applicator after the applicator is fully withdrawn.This will leave the end portion W of the applicator extending justbeyond the rectum as shown in FIG. 6. When treatment is completed, thepatient or an attendant will pull out the sleeve by grasping theprotruding end W. The sleeve will continue to reverse outside in as itis being withdrawn from the rectum.

The doubled partially reversed disposition of the sleeve shown in FIG. 6is desirable since it provides a double thickness of the fabric in thelocation of the sphincter muscle where many painful hemorrhoids andpiles occur. Furthermore, the extraction of the sleeve is accomplishedby a rolling outside-in movement rather than by a frictional slidingmotion. This is desirable since the removal of the sleeve is thenaccomplished without irritating or rubbing tender tissues.

The sleeve 30 should be in a chilled condition when inserted in therectum. This may be accomplished by placing the applicator with sleevemounted thereon in a refrigerator or by immersing them in ice water. Itis preferable that the sleeve be wet with ice water rather than chilleddry since the water has a lubricating effect which facilitates insertionof the applicator in the rectum. The bulbous end effectively spreads thenormally con stricted sphincter muscle in circumferential fashion. Dueto the tapered form of the applicator it releases readily from thesleeve and is readily drawn out of the rectum. The applicator may beleft in place in the rectum during treatment if desired, but in generalit is preferred that the applicator be removed and the fabric memberalone be left in the rectum to accomplish the therapeutic purposesintended.

In FIGS. 8 and 9 is shown a modified form of applicator 10 The plasticclamping member is formed with a pair of flexible jaws 40, 41 havingmating teeth 42, 44. The jaws separate when the shaft 18* is fullyinserted or retracted into the tapered shank 12 of the tubular body ofthe applicator. After mounting of a sleeve 30 on the applicator 10 endportion W can be fitted between the jaws and the shaft 18- will beretracted to the position of FIG. 9. The walls of the recess 24 aregenerally conical or flared so that the jaws are pressed together as theclamping member is withdrawn. The end W of the sleeve 30 will besecurely gripped by the jaws. The applicator with sleeve saturated withice water can be inserted into a rectum and the sleeve can be releasedtherein to leave the sleeve extended in the position of FIG. 7.Alternatively and preferably the clamping member can be held engagedwith the sleeve until the applicator is withdrawn so that the sleeve ispartially reversed as shown in FIG. 6. Portions of applicator 10corresponding to applicator 10 are identically numbered.

To improve the therapeutic effect the applicator can be of any suitableshape and may be chilled in a refrigerator or freezer prior to placingthe sleeve 30 thereon and wetting with ice water. The sleeve will thenretain its chilled condition for a longer time while it is beinginserted into the rectum and thereafter to improve the therapeuticeffect. Swollen blood vessels will be contracted, inflamed tissues willbe soothed and pain will be eased.

It is to be understood that the cool wet fabric in the inserted areaacts as a cushion, reduces the pain, stops bleeding and will preventirritation during the walk of the user. The fabric member after use canbe discarded.

The smooth plastic structure of applicator permits it to be readilywashed and sterilized after use.

While I have illustrated and described the preferred embodiments of myinvention, it is to be understood that I do not limit myself to theprecise constructions here disclosed and that various changes andmodifications may be made within the scope of the invention as definedin the appended claims.

Having thus described my invention, what I claim as new, and desire tosecure by United States Letters Patent is:

1. An applicator instrument for treating hemorrhoids in a rectum,comprising a tubular plastic body having a tapered shank terminating ina bulbous portion at its wider end, said bulbous portion having a cavitytherein, said shank having an axial bore therethrough communicating withsaid cavity, a clamping member having a head movable in said cavity anda shaft slidable in said bore, and a fabric sleeve mounted on said bodyand having one end releasably engaged by said head in the recess.

2. An applicator instrument for treating hemorrhoids in a rectum,comprising a tapered tubular body having a bulbous wider open end and anarrow open end, said wider end being formed with a cavity therein, saidbody having an axial bore communicating with said cavity, a clampingmember carried by said body, said clamping member having a shank portionslidably disposed in said bore and a clamping portion disposed in saidrecess, and a fabric member having one end gripped by said clampingportion in said recess for inserting said fabric member into saidrectum.

' 3.'An applicator instrument for treating hemorrhoids in a rectum,comprising a tapered tubular body having a bulbous wider open end and anarrow open end, said wider end being formed with a cavity therein, saidbody having an axial bore communicating with said cavity, a clampingmember carried by said body, said clamping member having a shank portionslidably disposed in said bore and a clamping portion disposed in saidrecess, and a fabric member having one end gripped by said clampingportion in said recess for inserting said fabric member into saidrectum, said clamping portion being formed with apair of flexible jawshaving teeth engaging the fabric member.

4. An applicator instrument for treating hemorrhoids in a rectum,comprising a tapered tubular body having a bulbous wider open end and anarrow open end, said wider end being formed with a cavity therein, saidbody having an axial bore communicating with said cavity,

- and a clamping member carried by said body, said clamping memberhaving a shaft portion slidably disposed in said bore, and a clampingportion disposed in said recess when the shaft is retracted in the bore,said clamping portion being formed with a pair of flexible jaws havingteeth for engaging a fabric member to be inserted into said rectum, saidjaws extending beyond said bulbous wider end of said body when saidshaft is fully inserted in said bore.

5. An applicator instrument for treating hemorrhoids in a rectum,comprising a tapered tubular body having a bulbous Wider open end and anarrow open end, said wider end being formed with a cavity therein, saidbody having an axial bore communicating with said cavity, a clampingmember carried by said body, said clamping member having a shank portionslidably disposed in said bore and a clamping portion disposed in saidrecess, and a fabric member having one end gripped by said clampingportion in said recess for inserting said fabric member into saidrectum, said fabric member being a cloth sleeve fitted on the tubularbody.

References Cited in the file of this patent UNITED STATES PATENTS2,710,007 Greiner et al. June 7, 1955 2,826,198 Van Sickle Mar. 11, 19582,877,767 Kramer Mar. 17, 1959,

